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. 2024 Apr 18;9(4):e013018. doi: 10.1136/bmjgh-2023-013018

Table 1.

Country-level sociodemographic determinants of excess mortality*

Unadjusted model on scaled data Adjusted model on scaled data—population-related variables† Adjusted model on scaled data—government and economy-related variables‡ Adjusted model on scaled data—health resources-related variables§
Regression coefficient P value R2=0.101 R2=0.106 R2=0.089
Regression coefficient P value Regression coefficient P value Regression coefficient P value
Population variables Population density −0.11 0.0565 0.07 0.414
Median age −0.34 <0.001
Percentage of population more than 65 years old −0.46 <0.001 −0.07 0.280
Life expectancy −0.52 <0.001
Hypertension 0.42 <0.001 0.54 <0.001
Diabetes 0.62 <0.001 0.43 <0.001
Obesity 0.38 <0.001 0.35 <0.001
PM2.5 (air pollution) 0.32 <0.001 0.07 0.433
Government and economy Gross domestic products (GDP) −0.33 <0.001
Human Development Index (HDI) −0.53 <0.001 −0.28 <0.001
Inequality-adjusted Human Development Index (IHDI) −0.71 <0.001
Gini index 0.79 <0.001 0.66 <0.001
Government Effectiveness −0.55 <0.001
Government revenue −0.58 <0.001 −0.06 0.439
Health resources Hospital beds per thousand population −0.20 0.008 −0.26 <0.001
Total medical doctors (per 10 000 population) −0.04 0.511 −0.03 0.606
Total nursing personnel (per 10 000 population) −0.37 <0.001 0.04 0.541
Universal health coverage −0.48 <0.001
Completeness of vital registration 0.02 0.75 0.13 0.023
Healthcare Access and Quality Index (HAQ) −0.62 <0.001 −0.67 <0.001

Bold fonts indicate statistically significant p-values, at an alpha level of 0.05.

*Kazakhstan and Peru were excluded from this analysis due to a completeness of vital registration systems of <90% which affects excess mortality estimates.

†Life expectancy removed from model due to collinearity (r≥0.60) with hypertension and median age due to collinearity (r≥0.94) with proportion of population 65+.

‡GDP, IHDI and government effectiveness were removed from model due to collinearity (r≥0.90) between them and with HDI.

§Universal health coverage removed from model due to collinearity (r≥0.80) with HAQ.